Provider Demographics
NPI:1952018020
Name:HOARD, BIANCA DANIELLE (QMHS)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:DANIELLE
Last Name:HOARD
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:BIANCA
Other - Middle Name:DANIELLE
Other - Last Name:HAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3095 KETTERING BLVD
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1983
Mailing Address - Country:US
Mailing Address - Phone:937-293-8300
Mailing Address - Fax:937-534-1352
Practice Address - Street 1:3095 KETTERING BLVD
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1983
Practice Address - Country:US
Practice Address - Phone:937-293-8300
Practice Address - Fax:937-534-1352
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator